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When Additional Help Is Needed

Daily Functioning Changes

In general, consider whether your child’s behaviors, thoughts, or emotions are interfering with any of the major areas of childhood function: family life, school, and relationships with same-age friends. Many children will have some difficulties in one of these areas during a time of change related to a parent’s illness. These difficulties are usually temporary and may require some extra structure or support from adults.

Assessing the duration of changes

During the time of new diagnosis, younger children may have a temporary regression in their sleep habits, or be a bit crankier around everyday transitions. Older children may have trouble concentrating on homework, or feel less like going out to play with friends. These changes should be short-lived—lasting no more than a couple of weeks. Extra adult attention for younger children or help with homework for older ones should set things back to a certain equilibrium.

If, however, more than one of the three arenas (family, school, or friends) appears to be suffering, the problems persist for more than a few weeks, or they seem to be worsening, consider having your child see a mental health professional for assessment and perhaps ongoing support. Any child that has thoughts of self-harm, dangerous behavior, or substance abuse should be referred for mental health evaluation as soon as possible.